基于消除鄱阳湖生态经济区开发过程中环境保护成长上限的管理对策探讨

2009年鄱阳湖生态经济区开发上升为国家战略,鄱阳湖生态经济区的发展成为江西实现中部崛起的重要举措。但值得关注的是,经济区生态系统的保护、环境问题的改善必须放在重要地位,必须认真分析开发过程中遇到的地表及尘土污染防治差额、水资源污染防治差额、执法效能差额、环境管理与监控差额等环境保护的成长上限问题。为此,笔者根据成长上限的消除原理,提出管理对策。     

浅谈技术进步对医院建筑设计的影响

随着医疗和信息技术的迅猛发展,医院建筑设计也随之改变。文章论述了智能化系统的运用、医院管理模式的变化对医院建筑设计的影响,建议建筑师将医院整体的物流、人流进行有序组织与优化,为就诊患者和医务人员提供良好的就医和工作环境。     

卫生监督在个体口腔诊所推行医院感染管理标准操作规程（SOP）的实践和思考

2012年，张家港市在个体口腔诊所中推行医院感染管理标准操作规程（SOP）行政指导工作，作者就张家港市个体口腔诊所推行医院感染管理标准操作规程（SOP）工作的做法和成效进行了初步探讨，并对个体口腔诊所医院感染管理标准操作规程（SOP）制订与现行卫生标准、规范如何衔接、医院感染管理监督执法的发展方向、卫生监督执法人员如何有效履职作出思考。     

Diabetes management in older people: a focus on cardiovascular risk reduction

Cardiovascular disease remains the most common cause of death in persons with diabetes regardless of age. Increasing age combined with diabetes exert a synergistic effect on the vascular system increasing the atherosclerosis burden in older people with diabetes. Due to their high baseline risk, they stand to benefit most from interventions to reduce cardiovascular risk. Older people with diabetes are functionally heterogeneous and their management is challenging. Fit and independent individuals are likely to benefit from tight targets while a relaxed approach putting quality of life at the heart of management plans is more appropriate in the frail and dependent individuals with limited life expectancy.     

危机管理在消毒供应中心优质服务中的应用

目的 研究危机管理在消毒供应中心优质服务中的应用效果.方法 本院消毒供应中心共有26名工作人员,年龄18～50岁.2011年12月份共回收处理器械1218件（实施危机管理前）,2012 年6月份共回收处理器械1224件（实施危机管理后）,对两个时间段发生的风险事件进行比较分析.结果 采取危机管理措施后,与实施危机管理前相比较,风险事件从39起下降至14起（P＜0.01）,科室满意度从87%提高至97%（P＜0.01）,工作人员职业满意度评分从88.09±1.69提高至97.21±2.46（P＜0.01）.结论 消毒供应中心在提供优质服务中采用危机管理措施,可以明显提高工作效率,降低风险事件的发生,同时还可以提高工作人员的职业满意度,并提高医院其他科室工作人员对中心的满意度,有利于为中心营造出一个安全和谐的工作环境.     

老门诊楼改造工程施工管理难点及对策

文章以山东省金乡县人民医院老门诊楼改造项目为例，介绍了施工过程中遇到的困难以及解决办法，供进行医院改建项目的基建管理者参考。     

医院制剂复方甘草口服溶液质量回顾分析

目的 对医院制剂复方甘草口服溶液进行质量回顾分析,及时发现并纠正生产过程的不良趋势,保证制剂质量.方法 采用单值-移动极差控制图法和风险级别判断矩阵对中国人民解放军联勤保障部队第九〇〇医院近五年生产的复方甘草口服溶液质量进行分析.结果 2014年6月至2019年6月,该院生产的30批次复方甘草口服溶液质量符合法定标准,控制图显示该品种生产工艺较稳定,针对复方甘草口服溶液中愈创木酚甘油醚含量波动较大的问题进行风险分析并采取了有效措施控制风险.结论 控制图分析结合风险管理,更有利于我院持续、稳定地生产出质量优异的复方甘草口服溶液.     

STAFFING PATTERNS

Unsolved staffing pattern issues are viewed in the current context of funding pressures, third party payment, and management necessity for program and cost projections. Relevant factors are mustered for consideration with their implications. Use of differentiated skill levels and response as well as development of departmental services mandate are considered. The author also shares his experientially derived throughts on staff ratio to certain institutional assignments.     

Challenges and opportunities of utilizing municipal solid waste as alternative building materials for sustainable development goals: A review

Strict environmental concern, depletion, and price hike of building construction materials are driving scientific studies for the search of alternative materials for building construction. To this end sustainable building materials could be a fruitful solution. This review aims to discern the environmental efficacy of solid waste management (SWM) and its relationship with four stimuli i.e., economic structure, regulatory structure, science, and time. The study also highlights the investigation of governance network to figure out the regulatory structure and governance of waste management. Extensive details on solid waste with their sources, recycling potential and their current utilization for substantial development are outlined. A throughout of the production process, properties, advantages, disadvantages, and the global economy of building material developed through recycling of solid waste are discussed. This article also deals with the sustainability, social, and environmental impact of green building materials. The study identifies the future direction for the effective utilization of solid waste for developing building materials. Further, the scope of the present also focusses on the concept of circular economy for developing construction materials through recycling of solid waste, which provides an easy reference for solid waste processing towards sustainability.     

Current update on the diagnosis and management of head and neck soft tissue sarcomas

Head and neck soft tissue sarcomas are a group of rare heterogeneous tumours arising from embryonic mesoderm. They comprise <1% of all head and neck malignancies and 5–15% of all sarcomas with most head and neck sarcomas arising from soft tissues. Although rare, they are associated with both high recurrence and mortality rates. We review the current management of head and neck soft tissue sarcomas.